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Recommended standards for reports dealing with lower extremity ischemia: revised version
R B Rutherford1, J D Baker, C Ernst
1Department of Surgery, University of Colorado Health Sciences Center, Denver, USA.
Insights
Updated guidelines for analyzing lower extremity ischemia reporting are presented, refining the 1986 vascular surgery standards for peripheral arterial occlusive disease. This revision aims to improve clarity and address current needs in clinical practice.
Area of Science:
- Vascular Surgery
- Cardiovascular Surgery
Background:
- The Journal of Vascular Surgery published initial standards for lower extremity ischemia analysis in 1986.
- These standards, approved by major vascular surgery societies, have been widely adopted in peripheral arterial occlusive disease literature.
Purpose of the Study:
- To update and refine the original 1986 standards for analyzing and reporting lower extremity ischemia.
- To address identified oversights, clarify ambiguities, and incorporate necessary modifications.
- To provide explanatory comments for enhanced understanding and application of the revised recommendations.
Main Methods:
- Review and critical assessment of the 1986 recommended standards.
- Identification of areas requiring correction, clarification, or improvement.
- Incorporation of modifications and explanatory comments based on current knowledge and practice.
Main Results:
- A revised set of recommended standards for analyzing and reporting lower extremity ischemia.
- Reinforcement of previously satisfactory recommendations.
- Improved clarity and applicability of the standards for current literature and practice.
Conclusions:
- The updated standards aim to replace the original 1986 version.
- This revision ensures the recommendations remain relevant and effective for managing peripheral arterial occlusive disease.
- The enhanced guidelines facilitate better analysis and reporting of lower extremity ischemia.
Abstract:
Recommended standards for analyzing and reporting on lower extremity ischemia were first published by the Journal of Vascular Surgery in 1986 after approval by the Joint Council of The Society for Vascular Surgery and the North American Chapter of the International Society for Cardiovascular Surgery. Many of these standards have been accepted and are used in the current literature on peripheral arterial occlusive disease. With the passage of time, some oversights, aspects that require clarification, and better modifications have been recognized. This report attempts to correct these shortcomings while reinforcing those recommendations that have proven satisfactory. Explanatory comments are added to facilitate understanding and application. This version is intended to replace the original version.